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Int Arch Med 2017 Sep;10

Genetic, Diagnostic and Research Laboratory, Department of Anatomy, Faculty of Medical Sciences, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.

Background: Associations between certain environmental and lifestyle factors and Parkinson's disease (PD) have been reported in several studies, but information on these factors and Parkinson's Disease (PD) in South Asia, is limited.

Objective: To determine associations between lifestyle factors and PD in an urban clinic-based study in Sri Lanka.

Methods: In this case-control study, demographic and lifestyle factor data (including diet, coffee/tea drinking, smoking, alcohol status) was collected from an unselected cohort of PD patients and age and gender-matched controls attending clinics in Greater Colombo, Sri Lanka. Read More

Int Arch Med 2017 10;10. Epub 2017 Sep 10.

Nurse. Nursing doctor. Assistant professor at the Master's degree program at Alfredo Pinto Nursery School from UNIRIO, Rio de Janeiro, Rio de Janeiro, Brazil.

Objective: To identify the elite of authors about the subject adherence to antiretroviral therapy; to identify the journals turned to publishing articles about adherence to antiretroviral therapy; and to identify and analyze the most commonly used words in abstracts of articles about adherence to antiretroviral therapy.

Method: A bibliometric study conducted through the Scopus base. We used articles published between 1996 and 2014, after application of the eligibility criteria, there were composed the sample with 24 articles. Read More

Int Arch Med 2014 24;7(1):41. Epub 2014 Sep 24.

Civil Hospital, Karachi, Pakistan ; Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.

The objective of this study is to determine the time interval from decision to seek medical help and arrival of the patients to the emergency department (ED). The duration of stay in ED was also calculated. This study also assesses factors responsible delayed presentation to hospital. Read More

Int Arch Med 2014 8;7(1):48. Epub 2014 Nov 8.

Medical Emergency Department, Ibn Sina University Hospital, 10000 Rabat, Morocco ; Laboratory of Biostatistics, Clinical and Epidemiological Research, Faculté de Médecine et Pharmacie- Université Mohamed V Souissi, 10000 Rabat, Morocco.

Background: In the light of the impact that pain has on patients, emergency department (ED) physicians need to be well versed in its management, particularly in its acute presentation. The goal of the present study was to evaluate the prevalence of unrelieved acute pain during ED stay in a Moroccan ED, and to identify risk factors of unrelieved pain.

Methods: Prospective survey of patients admitted to the emergency department of Ibn Sina teaching university hospital in Rabat (Morocco). Read More

Int Arch Med 2014 4;7(1):47. Epub 2014 Nov 4.

Dhaka Medical College, Dhaka, Bangladesh.

Introduction: Uterine tumors resembling ovarian sex cord tumors (UTROSCT) are uterine neoplasms of unknown histiogenesis which show near complete differentiation towards ovarian sex cord elements and are postulated to arise from pluripotential uterine mesenchymal cells or endometrial stromal cells with secondary sex cord differentiation.

Case Presentation: A 48 year old post-menopausal women presented with abnormal uterine bleeding for which she underwent total abdominal hysterectomy with bilateral salpingo-ophorectomy. Gross examination revealed a gelatinous grayish white tumor confined to the myometrium, 7 cm in maximum dimention. Read More

Int Arch Med 2014 23;7(1):45. Epub 2014 Oct 23.

Department of Internal Medicine, Faculty of Health Sciences, Walter Sisulu University, Mthatha, Eastern Cape Province South Africa.

Background: Stroke is a major health issue in Nigeria and it is also a common cause of emergency admissions. Stroke often results in increased morbidity, mortality and reduced quality of life in people thus affected. The risk factors for stroke include metabolic abnormalities such as dyslipidaemia and diabetes mellitus (DM). Read More

Int Arch Med 2014 8;7(1):44. Epub 2014 Oct 8.

Institute of Primary Care & Public Health, Cardiff University School of Medicine, Neuadd Meirionnydd, Heath Park, Cardiff, CF14 4YS UK.

Background: A web-based tool was developed and piloted by being made available to healthcare staff in Wales from September 2012 to March 2013. This evaluation included two primary outcome measures: general health and mental well-being, and six secondary outcome measures: sickness absence, alcohol use, healthy eating, smoking, physical activity and maintaining a healthy BMI. The aim was to assess the feasibility of a web-based tool to improve health behaviours in healthcare staff. Read More

Int Arch Med 2014 26;7(1):42. Epub 2014 Sep 26.

Institute of Neurology, National Hospital of Sri Lanka, Colombo, Sri Lanka.

Background: Spinal muscular atrophies (SMAs) are a group of disorders characterized by degeneration of the anterior horn cells in the spinal cord and motor nuclei in the lower brainstem. It is transmitted by autosomal recessive inheritance and most of these conditions are linked to SMN gene. Even if the clinical picture is mainly dominated by the diffuse muscular atrophy, some patients can also show atypical clinical features such as myoclonic epilepsy ("SMA plus"), which may be related to other genes. Read More

Int Arch Med 2014 23;7(1):40. Epub 2014 Sep 23.

Centro de Estudos do Sistema Nervoso Autônomo (CESNA), Programa de Pós-Graduação em Fisioterapia, Faculdade de Ciências e Tecnologia, UNESP, Presidente Prudente, SP Brasil.

Background: Flexible poles are tools used to provide rapid eccentric and concentric muscle contractions. It lacks in the literature studies that analyze acute cardiovascular responses in different exercises performed with this instrument. It was investigated the acute effects of exercise with flexible poles on heart period in healthy women. Read More

Int Arch Med 2014 15;7:39. Epub 2014 Aug 15.

School of Public Health, Dow University of Health Sciences, Karachi, Pakistan ; Institute of Health and Wellbeing, Public Health, University of Glasgow, 1-Lilybank Gardens, Glasgow G12 8RZ, UK.

Paroxysmal Nocturnal Hemoglobinuria (PNH) is a rare type of acquired hemolytic anemia that is frequently associated with thrombophilia. It may rarely present with cerebral venous sinus thrombosis, which manifests clinically with signs of raised intracranial pressure and requires lifelong anticoagulation therapy. One such rare presentation was seen in a 28 years old male who had history of recurrent episodes of passing red colored urine and this time presented with severe headache. Read More

Int Arch Med 2014 31;7:37. Epub 2014 Jul 31.

Laboratório de Delineamento de Estudos e Escrita Científica, Departamento de Saúde da Coletividade, Disciplina de Metodologia Científica, Faculdade de Medicina do ABC, Av. Príncipe de Gales, 821, 09060-650 Santo André, SP, Brazil.

Endocarditis is a type of infection that is common in internal medicine wards and in haemodialysis clinics. The location that is most affected are the heart valves. Herein, we report a case of an uncommon abscess, a sub-endothelial abscess between the transition of the superior vena cava and the right atrium. Read More

Int Arch Med 2014 26;7:36. Epub 2014 Jul 26.

Dhaka Medical College, Dhaka, Bangladesh.

Introduction: Current grading system in application by WHO/ISUP divides urothelial malignancies in low and high grade by morphologic criteria while strict segregation may become cumbersome in limited tissue specimens. As grading these carcinomas are of utmost prognostic significance after depth of invasion, therefore we evaluated the role of immunohistochemical expression of p53 and cytokeratin 20 as an adjuctive tool in grading urothelial carcinoma.

Methods: The study was conducted in Aga khan university hospital, Histopathology section from December 2010 till June 2011 for duration of six months. Read More

Int Arch Med 2014 12;7:35. Epub 2014 Jul 12.

Faculdade de Medicina do ABC, Santo André, SP, Brazil.

Tuberculosis is a contagious infectious disease mainly caused by the bacteria Mycobacterium tuberculosis that still meets the priority criteria - high magnitude, transcendence and vulnerability - due to the threat it poses to public health. When taking into consideration the vulnerability conditions that favor the onset of the disease, this article aimed to investigate the implications originated from individual and social vulnerability conditions in which tuberculosis patients are inserted. Databases like MEDLINE, LILACS and SciELO were searched in Portuguese, Spanish and English using the descriptors tuberculosis and vulnerability, and 183 articles were found. Read More

Int Arch Med 2014 11;7:34. Epub 2014 Jul 11.

Centre for Nutrition and Exercise, Mater Research Institute-The University of Queensland, Brisbane, Australia.

Introduction: The epidemic of nutrition related non-communicable diseases such as type 2 diabetes mellitus and obesity has reached to epidemic portion in the Sri Lanka. However, to date, detailed data on food consumption in the Sri Lankan population is limited. The aim of this study is to identify energy and major nutrient intake among Sri Lankan adults. Read More

Int Arch Med 2014 16;7:29. Epub 2014 Jun 16.

Laboratorio de Neurociencias Moleculares e Integrativas, Escuela de Medicina, División Ciencias de la Salud, Universidad Anáhuac Mayab, Mérida, Yucatán, Mexico.

The ventral tegmental area is strongly associated with the reward system. Dopamine is released in areas such as the nucleus accumbens and prefrontal cortex as a result of rewarding experiences such as food, sex, and neutral stimuli that become associated with them. Electrical stimulation of the ventral tegmental area or its output pathways can itself serve as a potent reward. Read More

Int Arch Med 2014 21;7:31. Epub 2014 Jun 21.

Tropical Medicine Research Unit, Faculty of Medicine, University of Colombo, 25 Kynsey Road, Colombo 08, Sri Lanka.

Background: Leptospirosis presents diagnostic challenges to clinicians, in settings where other acute febrile illness are prevalent. The patterns of serial changes in haematological parameters in leptospirosis has not been evaluated previously.

Methods: Clinical and laboratory data were collected prospectively from patients with leptospirosis in two hospitals in Sri Lanka. Read More

Int Arch Med 2014 27;7:33. Epub 2014 Jun 27.

Medical Student, Dhaka Medical College, Dhaka, Bangladesh.

Background: Glial tumors are most common brain tumors in our population. While the exact etiology and pathogenesis is unknown, the evaluation of current trends in the frequency and morphology of glial tumors is imperative to constitute better diagnostic and treatment protocols. Data pertaining to frequency and spectrum of glial tumors is scarcely available in our population. Read More

Int Arch Med 2014 25;7:32. Epub 2014 Jun 25.

Department of Cardiology, Avicenne University Hospital, Rabat, Morocco.

Background: Mitral valve stenosis is a common manifestation of chronic rheumatic heart disease. The presence of spontaneous echo contrast in the left atrium and left atrial appendage has been reported to be an independent predictor of thrombo-embolic risk in patients with mitral stenosis. The objective of this study was to retrospectively investigate various clinical and echocardiographic variables to predict the spontaneous echo contrast in these patients. Read More

Int Arch Med 2014 21;7:30. Epub 2014 Jun 21.

Department of Cardiology, Hospital de Santa Marta, Centro Hospitalar de Lisboa Central, Lisbon, Portugal.

Pheochromocytoma crisis typically presents as paroxysmal episodes of headache, tachycardia, diaphoresis or hypertension. We describe an uncommon case of recurrent non-hypertensive heart failure with systolic dysfunction in a young female due to pheochromocytoma compression. It presented as acute pulmonary oedema while straining during pregnancy and later on as cardiogenic shock after a recreational body massage. Read More

Int Arch Med 2014 20;7:26. Epub 2014 May 20.

Department of Geriatric Medicine, All India Institute of Medical Sciences, New Delhi 110029, India.

Background: Dementia is a major health problem in advancing age with no definitive treatment. Occupational therapy interventions are recognized strategies in treatment of dementia. Quality of life (QOL) assessment has been reliably used as an objective index of an individual's well being pertaining to interventions in dementia. Read More

Int Arch Med 2014 15;7:25. Epub 2014 May 15.

Departamento de Morfologia e Fisiologia, Faculdade de Medicina do ABC, Av. Príncipe de Gales, 821, Santo André, SP 09060-650, Brazil ; Programa de Pós-Graduação em Fisioterapia, Faculdade de Ciências e Tecnologia, Universidade Estadual Paulista, UNESP, R. Roberto Simonsen, 305, Presidente Prudente, SP 19060-900, Brazil.

Background: We evaluated the effects of the PCM on the fractal analysis of the HRV in healthy women.

Method: We evaluated healthy women between 18 and 30 years old. HRV was analyzed in the time (SDNN, RMSSD, NN50 and pNN50) and frequency (LF, HF and LF/HF ratio) domains as well as short and long-term fractal exponents (alpha-1 and alpha-2) of the detrended fluctuation analysis (DFA). Read More

Int Arch Med 2014 26;7:28. Epub 2014 May 26.

Department of Medicine, University of Sri Jayewardenepura, Nugegoda, Sri Lanka.

Background: Cardiac arrhythmias occur during the acute stage of Dengue Haemorrhagic Fever. Dengue myocarditis is the most likely cause of the arrhythmias.

Case Presentation: We report a 55-year-old patient with Dengue Haemorrhagic Fever presenting with transient ventricular trigeminy which has not been reported before. Read More

Int Arch Med 2014 22;7:27. Epub 2014 May 22.

Centro de Estudos do Sistema Nervoso Autônomo (CESNA), Departamento de Fonoaudiologia, Faculdade de Filosofia e Ciências, Universidade Estadual Paulista, UNESP, Av. Hygino Muzzi Filho, 737, 17525-900 Marília, SP, Brasil.

Background: Chronic classical music was reported to increase parasympathetic activitywhen evaluating heart rate variability (HRV). It is poor in the literature investigation of the acute effects of baroque and heavy metal styles of musical auditory stimulation on HRV. In this study we evaluated the acute effects of relaxant baroque and excitatory heavy metal music on the geometric indices of HRV in healthy men. Read More

Int Arch Med 2014 9;7:22. Epub 2014 May 9.

Departamento de Medicina, Disciplina de Cardiologia, UNIFESP, Rua Sena Madureira, 1500 - 5° andar, São Paulo, SP 04021-001, Brazil.

Background: Burnout syndrome can be defined as long-term work stress resulting from the interaction between constant emotional pressure associated with intense interpersonal involvement for long periods of time and personal characteristics. We investigated the prevalence/propensity of Burnout syndrome in clinical nurses, and the factors related to Burnout syndrome-associated such as socio-demographic characteristics, work load, social and family life, leisure activities, extra work activities, physical activities, and work-related health problems.

Method: We conducted a cross-sectional, quantitative, prospective epidemiological study with 188 surgical clinic nurses. Read More

Int Arch Med 2014 6;7:19. Epub 2014 May 6.

Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.

Most therapeutic regimens are aimed at the use of pharmacologic agents or the induction of immunological response against the pathological agent. However, these methods tend to be insufficient for the management of some of the most debilitating infectious diseases. Here we present a novel therapeutic approach. Read More

Int Arch Med 2014 12;7:24. Epub 2014 May 12.

Post Graduate Program in Women's Health, USP, Sao Paulo, Brazil.

Background: Urinary incontinence (UI) is defined as any involuntary loss of urine that can influence the quality of life, personal hygiene and social interaction. The types of UI that most affect women are stress urinary incontinence, urge incontinence and mixed urinary incontinence. There are several risk factors that result in specific treatments. Read More

Int Arch Med 2014 12;7:23. Epub 2014 May 12.

Department of Nephrology, University Hospital of Brasilia, Brasilia, Federal District, Brazil.

Background: Most hemodialysis patients present with chronic systemic inflammation characterized by the elevation of serum C-reactive protein (CRP) levels and/or the production of proinflammatory interleukins by the immune system in response to the hemodialysis process. Plasma ferritin(PF) is one of the parameters used to correct anemia. An PF level of >500 ng/mL is not recommended for correction of anemia because of the uncertainty of whether these levels are elevated because of anemia or a mere reaction to inflammation. Read More

Int Arch Med 2014 7;7:21. Epub 2014 May 7.

Departamento de Fonoaudiologia, Faculdade de Filosofia e Ciências, UNESP, Av. Hygino Muzzi Filho, 737. 17525-900 Marília, SP, Brasil.

Background: This study was conducted to describe the association between central auditory processing mechanism and the cardiac autonomic regulation.

Methods: IT WAS RESEARCHED PAPERS ON THE TOPIC ADDRESSED IN THIS STUDY CONSIDERING THE FOLLOWING DATA BASES: Medline, Pubmed, Lilacs, Scopus and Cochrane. The key words were: "auditory stimulation, heart rate, autonomic nervous system and P300". Read More

Int Arch Med 2014 6;7:20. Epub 2014 May 6.

Department of Physioterapy in the Study Centre in Physiotherapy, Rehabilitation of Faculdade de Ciências e Tecnologia, UNESP, Rua Roberto Simonsen, 300, Centro Educacional, 19060-900 Presidente Prudente, SP, Brazil.

Background: The physical exercise consists of trainable physical abilities such as strength and endurance. It can be inferred that the individual cardiac patient is dependent on it as an associated therapy to the drug treatment for a rapid and lasting improvement of their overall clinical status.

Case Presentation: The patient - with Spontaneous Coronary Artery Dissection Postpartum period - was subjected to 21 sessions of cardiac rehabilitation. Read More

Int Arch Med 2014 3;7:18. Epub 2014 May 3.

Department of Health Services Management, Jimma University, Jimma, Ethiopia.

Background: Medication error is common and preventable cause of medical errors and occurs as a result of either human error or a system flaw. The consequences of such errors are more harmful and frequent among pediatric patients.

Objective: To assess medication prescribing errors and associated factors in the pediatric wards of Dessie Referral Hospital, Northeast Ethiopia. Read More

Int Arch Med 2014 29;7:17. Epub 2014 Apr 29.

Department of Medicine, Albert Einstein College of Medicine, Bronx, NY, USA.

The cardiac patient undergoing major urologic surgery is a complex case requiring a great attention by the anesthesiologist. Number of this group of patients having to go through this procedure is constantly increasing, due to prolonged life, increased agressiveness of surgery and increased anesthesia's safety. The anesthesiologist usually has to deal with several problems of the patient, such as hypertension, chronic heart failure, coronary artery disease, rhythm disturbances, intraoperative hemodymanic changes, intraoperative bleeding, perioperative fluid imbalance, and metabolic disturbances. Read More

Int Arch Med 2014 4;7:16. Epub 2014 Apr 4.

Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.

Tobacco is a preventable cause of morbidity and mortality across the world. A recently infamous way of smoking tobacco is shisha. Shisha smoking is also known as water pipe, hookah and Narghile smoking. Read More

Int Arch Med 2014 4;7:15. Epub 2014 Apr 4.

Oxford Centre for Diabetes, Endocrinology and Metabolism, University of Oxford, Oxford, UK ; Department of Clinical Medicine, Faculty of Medicine, University of Colombo, Sri Lanka.

We evaluated the patterns of physical activity (PA) and the prevalence of physical inactivity among Sri Lankan adults with diabetes mellitus. Data were collected as part of a wider cross-sectional national study on diabetes in Sri Lanka. PA during the past week was assessed using the short version of the IPAQ. Read More

Int Arch Med 2014 Apr 2;7(1):14. Epub 2014 Apr 2.

Department of Cardiology B, IBN SINA Hospital, Mohamed V University Souissi, Rabat, Morocco.

Double orifice mitral valve is a rare congenital anomaly presenting as the division of the mitral orifice into two anatomically distinct orifices, it is most often associated with other congenital heart defects such as left-sided obstructive lesions, ventricular septal defects or aortic coarctation. We report the case of a 15 year's old boy, admitted for arterial hypertension, auscultation revealed a rude aortic systolic murmur. Femoral pulses were weak. Read More

Int Arch Med 2014 Apr 1;7(1):13. Epub 2014 Apr 1.

School of Pharmacy, Monash University Malaysia, PO box 46150, Bandar Sunway, Selangor, Malaysia.

Background: Hyperglycemia and hypocalcaemia have separately been attributed to adverse outcomes in critically ill patients. The study was aim determine whether hyperglycemia and hypocalcaemia together post-operative effect of thyroidectomy and evaluate the gender & age impact on the extend of clinical condition.

Methods: All the patients underwent thyroidectomy in the duration of 1st Jan 2012 till 30th June, 2013 in HPP and HUSM Kelantan, Malaysia. Read More

Int Arch Med 2014 Mar 22;7(1):12. Epub 2014 Mar 22.

Dow Medical College, Dow University of Health Sciences, Karachi, Pakistan.

Background: Spinal tuberculosis presents in various pathological patterns. The clinical presentation and often the management depend on exact pathological findings. Objective of study was to evaluate the Pathology of spinal tuberculosis as depicted by MRI findings in 119 consecutive cases of spinal TB. Read More

Int Arch Med 2014 Mar 14;7(1):11. Epub 2014 Mar 14.

Center for Evidence-based Health Care, Department of Interdisciplinary Health Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Stellenbosch, Western Cape, South Africa.

Background: Hepatitis B virus (HBV) infection is one of the most serious occupational hazards faced by healthcare workers. Surgical personnel are particularly at risk. HBV infection is preventable by vaccination, but no previous study has assessed HBV vaccination coverage among healthcare workers in Cameroon. Read More

Int Arch Med 2014 Mar 6;7(1). Epub 2014 Mar 6.

Unidad de Trastornos del Movimiento y Sueño (TMS), Hospital General Dr, Manuel Gea Gonzalez, Secretaria de Salud, México, DF, Mexico.

This systematic review aims to provide information about the implications of the movement-related cortical potential (MRCP) in acute and chronic responses to the counter resistance training. The structuring of the methods of this study followed the proposals of the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses). It was performed an electronically search in Pubmed/Medline and ISI Web of Knowledge data bases, from 1987 to 2013, besides the manual search in the selected references. Read More

Int Arch Med 2014 Mar 6;7(1):10. Epub 2014 Mar 6.

Department of Neurology B and Neurogenetics, Hôpital des Spécialités O.N.O, 6444 Rabat, Morocco.

Objective: To characterize clinical aspects of Idiopathic Parkinson's disease from a movement disorders consultation in University Hospital of Rabat.

Methods: Retrospective review of medical records of 117 patients with diagnosis of Idiopathic Parkinson's disease seen in our outpatient clinic from 2006 to 2011.

Results: Mean age was 64 ± 10 years with predominance of men (61. Read More

Int Arch Med 2014 Feb 27;7(1). Epub 2014 Feb 27.

Faculdades Adamantinenses Integradas, Via de Acesso Francisco Bellusci, 1000, Adamantina, SP 17800-000, Brazil.

Background: We aimed to analyze the effect of a physical therapy protocol on unilateral vestibular hypofunction and overall balance in elderly with vertigo.

Methods: The study included nine subjects, four male subjects (68.5 ± 11. Read More

Int Arch Med 2014 Feb 26;7(1). Epub 2014 Feb 26.

Departamento de Fonoaudiologia, Faculdade de Filosofia e Ciências UNESP, Av, Hygino Muzzi Filho, 737, 17525-900 Marilia SP, Brasil.

Background: We examined the vocal complaints and evaluated the correlation between the vocal handicap index (VHI) and heart rate variability (HRV) in physical education teachers. We evaluated 46 teachers.

Method: The subjects were investigated regarding voice complaint and the VHI was applied. Read More

Int Arch Med 2014 Feb 17;7(1). Epub 2014 Feb 17.

Instituto de Neurociencias, Universidad de Guadalajara, Guadalajara, México.

Anatomy plays a fundamental role in supporting and shaping nervous system activity. The remarkable progress of computer processing power within the last two decades has enabled the generation of electronic databases of complete three-dimensional (3D) dendritic and axonal morphology for neuroanatomical studies. Several laboratories are freely posting their reconstructions online after result publication v. Read More

Int Arch Med 2013 Feb 23;6(1). Epub 2013 Feb 23.

National Hospital of Sri Lanka, Colombo, Sri Lanka.

Introduction: Snake bite is a common and devastating environmental hazard, especially in rural areas of tropical countries. Acute myocardial infarction caused by snakebite has rarely been reported. To our knowledge we found only 10 cases of Myocardial infarction following a viper bite in English literature. Read More

Int Arch Med 2014 Jan 16;7(1). Epub 2014 Jan 16.

Dhaka medical college, Dhaka, Bangladesh.

Introduction: Lipoma is a benign soft tissue neoplasm that may contain mesenchymal elements, as a result of metaplastic process. Ossification in benign and malignant soft tissue tumors can also manifest due to metaplastic process.

Case Presentation: A 45 year old woman presented with a large thigh mass. Read More

Int Arch Med 2014 Jan 9;7(1). Epub 2014 Jan 9.

Dhaka Medical College, Dhaka, Bangladesh.

Fibro-osseous pseudotumor of the digit is rare benign lesion of subcutaneous tissue which is thought to be reactive process as a result of repeated trauma. We report a case of an ulcerated lesion of skin of middle finger, clinically thought to be leishmaniasis which after punch biopsy followed by excision turned out to be fibrosseous pseudotumor. Diagnosis of fibro-osseous pseudotumor requires immense precision as it can clinically mimic unungal exostosis and can sometimes be misinterpreted clinically and radiologically as myositis ossificans. Read More

Int Arch Med 2014 Jan 8;7(1). Epub 2014 Jan 8.

Laboratório de Escrita Científica, Departamento de Morfologia e Fisiologia, Faculdade de Medicina do ABC, Av, Príncipe de Gales, 821, 09060-650 Santo André, SP, Brazil.

Background: Acute viral bronchiolitis is a respiratory disease with high morbidity that affects newborn in the first two years of life. Its treatment with physiotherapy has been highlighted as an important tool, however, there is no consensus regarding its effects on patients improvement. We aimed to evaluate the physiological parameters before and after the procedure respiratory therapy in newborn with acute viral bronchiolitis. Read More

Int Arch Med 2014 Jan 6;7(1). Epub 2014 Jan 6.

Department of Medicine (ward 13), Teaching hospital, Colombo, North, Ragama, Sri Lanka.

Hoffmann syndrome is a rare form of hypothyroid myopathy in adults characterized by presence of muscle weakness, stiffness and pseudohypertrophy. We report a 39 year old male with primary hypothyroidism diagnosed at childhood and not on regular thyroxine therapy who presented with fatigue, cold intolerance, constipation, exertional breathlessness, progressive proximal muscle weakness and swelling of the legs for one year. Examination revealed pseudohypertrophy of calf muscles with marked symmetrical proximal upper and lower limb weakness. Read More

Int Arch Med 2014 Jan 3;7(1). Epub 2014 Jan 3.

Instituto de Ensino e Pesquisa em Fisioterapia Clínica de Saúde, Rua Vitório Orthiges Fernandes, 6123, CEP, Teresina 64073-505, PI, Brazil.

Background: Although postural changes were already reported in blind adults, no previous study has investigated postural stability in blind children. Moreover, there are few studies which used a stabilometric instrument to measure postural balance. In this study we evaluated stabilometric paramaters in blind children. Read More

Int Arch Med 2013 Dec 27;6(1):49. Epub 2013 Dec 27.

Laboratório de Escrita Científica, Faculdade de Medicina do ABC, Av, Príncipe de Gales, 821, Santo André, SP 09060-650, Brazil.

The heart rate variability is a useful method to assess cardiac autonomic modulation in patients undergoing dental procedures, because knowledge of physiological conditions provides greater security to the professional as well as the possibility of a better plan treatment to patient benefit. The aim of our study was to describe the association between cardiac autonomic control and dental variables. We consulted the databases Medline, SciELO, Lilacs and Cochrane, using the terms "autonomic", "dentistry", "heart rate variability", "cardiovascular physiology. Read More

Int Arch Med 2014 28;7:50. Epub 2014 Nov 28.

Ladoke Akintola University College of Health Sciences/Teaching Hospital, Ogbomosho, Oyo State Nigeria.

Introduction: HE are common acute complications of diabetes mellitus (DM) and include diabetic ketoacidosis (DKA), normo-osmolar hyperglycemic state (NHS) and hyperosmolar hyperglycemic state (HHS). They contribute a lot to the mortality and morbidity of DM. The clinical features include dehydration, hyperglycemia, altered mental status and ketosis. Read More